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We help members and their families navigate the complex & confusing healthcare system. We guide members through many healthcare situations, such as reviewing their health care options, guide members thru the Medicare enrollment process, help members find Extra help for prescriptions & additional benefits and much more.
Explanation of Parts of Medicare.
If you have questions please contact our office to schedule a phone, in-person or virtual appointment.
Part A, Part B, Part D, Part C, Medigap.
If you have questions please contact our office to schedule a phone, in-person, or virtual appointment.
What if you have current employer coverage do I need to sign up for Part B?
Look at the monthly premium for your current coverage.
Look at the Max Out Of Pocket for your current plan.
Look at the copays with the current plan.
Does your current plan offer extra benefits .
If you have questions please contact our office to schedule a phone, in-person, or virtual appointment.
Initial enrollment period.
If you have questions please contact our office to schedule a phone, in-person, or virtual appointment.
Please reach us at Laura@Lauramartinezagency.com if you cannot find an answer to your question.
You usually don’t pay a monthly premium for Part A coverage if you or your spouse paid Medicare taxes while working for a certain amount of time. This is sometimes called premium-free Part A. If you aren’t eligible for premium-free Part A, you may be able to buy it.
*(Check Medicare.gov)
The standard Part B premium amount in 2023 is $164.90. Most people pay the standard Part B premium amount every month. The premium is based on your modified adjusted gross income.
*(Check Medicare.gov)
If you don’t sign up for Part B when you’re first eligible, you may have to pay a late enrollment penalty for as long as you have Part B.
Part A (Hospital Insurance) helps cover:
• Inpatient care in a hospital
• Inpatient care in a skilled nursing facility (not custodial or long-term care)
• Hospice care
• Home health care
• Inpatient care in a religious non-medical health care institution
*Check Medicare.gov/coverage
Medicare Part B (Medical Insurance) helps cover:
* Check Medicare.gov/coverage
Part D, helps cover the cost of prescription drugs (including many recommended shots or vaccines).
Plans that offer Medicare drug coverage (Part D) are run by private insurance companies that follow rules set by Medicare.
You may have a penalty if you don't join a Medicare drug plan when you first get Part B Medicare. Go 63 days or more without creditable drug coverage. Unless you activate Part C (Medicare Advantage)
* Check Medicare.gov/coverage
Initial Enrollment Period You can first sign up for Part A and/or Part B during the 7-month period that begins 3 months before the month you turn 65, includes the month you turn 65, and ends 3 months after the month you turn 65.
* Check Medicare.gov/coverage
Content listed above is based on this Medicare handbook. Free download.
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